not before. j.p. garamone: we've been married 13 years. we pretty much put the decision off till later on. we really thought that we would, you know, travel and do a lot of things together, etc., etc., and then when the time was right, we'd figure, you know, we'd talk about it then. and then one day, it was like, is this going to be a nursery or is this going to be a guest room? tracey garamone: and i went for my annual doctor's appointment and said we're thinking about it and next thing you know, the next month, it happened. well, there's no question that if we take from the very beginning, planning a pregnancy is far more likely to yield a good outcome than an unplanned pregnancy for a variety of reasons. not every woman is perfectly healthy. doctor: tracey? not ever woman understands that, for example, you can reduce the chance of having a neural tube defect by taking folic acid in the pre-conceptual and the early conceptual period. if you wait until you're pregnant, it's often too late, to, in fact, impact any change on the outcomes.